Organization Active NPI

Duncansville Emergency Medical SVC

  • Land Ambulance
  • Duncansville, PA
National Provider Identifier
1346233756
Registry record updated Dec 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
07004 Issued in PA
Legal business name
DUNCANSVILLE EMERGENCY MEDICAL SVC
Practice address
1414 Peach St
Duncansville, PA 16635-1255
Phone
(814) 696-3349
Fax
(814) 696-3664
NPI assigned
Aug 31, 2005
Last updated
Dec 12, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Sandra L Mosel
Title
Vice President
Phone
(814) 696-3349

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 07004 PA Primary

Addresses

Primary practice location

1414 Peach St
Duncansville, PA 16635-1255

Mailing address

1414 Peach St
Duncansville, PA 16635-1255
Phone (814) 696-3349

Other identifiers 1

IdentifierTypeStateIssuer
0019240700002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050803000267 PA Part B Supplier - Ambulance Service Supplier 1052349727 Practice locations: Duncansville, PA

National Provider Directory

National Provider Directory

Locations

1414 Peach St
Duncansville, PA 16635
Phone (814) 696-3349

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355270400000",
    "number": "1346233756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 PEACH ST",
            "city": "DUNCANSVILLE",
            "state": "PA",
            "postal_code": "166351255",
            "telephone_number": "814-696-3349",
            "fax_number": "814-696-3664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 PEACH ST",
            "city": "DUNCANSVILLE",
            "state": "PA",
            "postal_code": "166351255",
            "telephone_number": "814-696-3349",
            "fax_number": "814-696-3664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNCANSVILLE EMERGENCY MEDICAL SVC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-31",
        "last_updated": "2012-12-12",
        "status": "A",
        "authorized_official_last_name": "MOSEL",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "814-696-3349",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "07004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019240700002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Duncansville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.